Patient business services
Centegra Health Systems, Woodstock Hospital
I am mainly responsible for MSP (Medicare secondary payer), accounts receivable and some billing using the STAR system. A very important part of my function is to have direct communication with both patients and insurance companies via phone conversations and some face to face contact. This contacts affords me the opportunity to gather valuable information allowing Centegra to be paid for services rendered. Performing my function while serving the patients with respect is key to my success.
I am also Medicaid trained for complete payment cycle processing. Facets of this include EPayment reports, authorization for Physician and patient sterilization, Voids and Failed claims authorizations thru Medicaid. This requires direct communication with both patients and Medicaid representatives via personal interface as well as phone communication.
My knowledge base covers state assistance, Medicaid, Medicare and secondary coverage with private pay insurance carriers. The main purpose of the MSP position is to protect the hospital from commiting fruad thru Medicare.